Healthcare Provider Details

I. General information

NPI: 1356495261
Provider Name (Legal Business Name): ADRIAN LEMAR JAMES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/22/2007
Last Update Date: 03/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 ADELINE ST
OAKLAND CA
94607-2608
US

IV. Provider business mailing address

700 ADELINE ST
OAKLAND CA
94607-2608
US

V. Phone/Fax

Practice location:
  • Phone: 510-835-9610
  • Fax: 510-893-3540
Mailing address:
  • Phone: 510-835-9610
  • Fax: 510-893-3540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberG79583
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: